Background: Nowadays laparoscopic appendectomy (LA) is the management of choice for acute appendicitis (AA) in simple, uncomplicated cases. For complicated acute appendicitis (CAA), laparoscopic or conventional open appendectomy (OA) is still in debate.Objective: This study aimed to compare minimally invasive LA and traditional OA in CAA cases. Methods: In this study, 44 patients with CAA (22 for LA and 22 for OA) with 18 years of age or older were enrolled. It was conducted in General Surgery Department, Helwan University Hospital. Results:The operative time difference between the LA and OA groups was statistically significant (18.5 minutes shorter in the OA group, (p<0.001). The median length of hospital stay, return to normal activity, and patient satisfaction were significantly better in the LA group (p-values of 0.001, 0.00, and 0.14 respectively). The need for analgesics in the LA group was significantly lower than in the OA group. There were no detectable statistically significant findings concerning the occurrence of surgical findings, postoperative vomiting, postoperative ileus, wound infection, wound dehiscence, or postoperative intra-abdominal collection. Conclusions: Laparoscopic appendectomy management of CAA is feasible, safe, and has numerous advantages over the traditional open procedure in terms of reducing postoperative pain, requiring fewer analgesics, shortening the postoperative hospital stay, having a low incidence of postoperative infectious complications, and allowing a rapid return to daily activities with improved comfort and satisfaction.

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Background: The perforation of peptic ulcer is a common and serious life threatening surgical emergency. Up-till now no consensus was reached regarding the best practice in management of perforated peptic ulcer. The aim of this study is to evaluate and compare between both management strategies of perforated peptic ulcer; performing simple closure of the perforation with

Background: Although CBS was found to be nearly equal to radical approaches as it allow removal of diseased tissues with sufficient safety margins of un-diseased breast tissues but the shape of the breast is not conserved that lead to marked post-operative deformities which leads to psychic troubles particularly in younger females. Oncoplastic breast surgery (OBS) allows better resection of huge tumors and it becomes a preferred surgical approach of cancer breast management as it allows combination of both oncological and plastic surgery principles and reaching satisfaction in both oncological and aesthetic results. Aim of the current study is to compare between CBS and OBS as two different techniques of primary breast cancer management in female patients regarding surgical outcome and postoperative findings. Methods: The current study is a comparative, prospective and randomized analysis included 120 breast cancer patients who were divided into two groups: group 1 which included 45 patients who underwent OBS; and group 2 which included 75 patients who underwent CBS. Results: We showed that patients underwent OBS were younger than CBS group (P=0.009). OBS was more frequently performed for tumors in the lower quadrants (p=0.001). Surgical safety margins and volume of excised tissues were larger in OBS group than in CBS group (p=0.001). Patients' satisfaction was higher in OBS group than in CBS group (p<0.001). We found a lower rate for re-excision and completion mastectomy in OBS group than in CBS group (p=0.002). Conclusions: We have confirmed safety and feasibility of OBS, reducing rate of post-operative positive margins, tumor recurrence, produced a better cosmetic appearance and a higher patient's satisfaction than the conventional methods of CBS.